Rheumatoid arthritis

A scoping review of shared care models for rheumatoid arthritis with patient-initiated follow-up

Semin Arthritis RheumPublished Scoping review

Authors' conclusion

While shared care models with patient-initiated follow-up may offer comparable outcomes for RA

Study context

Population
Studies of any design (English language, 01/01/2000–31/03/2022) describing implementation and/or outcomes of shared care models for RA with patient-initiated follow-up16 articles · 10 unique studies
Comparison
Shared care between primary and specialist care with patient-initiated rheumatologist follow-up vs usual care
Methodological detailspre-specified protocol, duplicate article selection and data extraction
  • Pre-specified protocol
  • Duplicate article selection and data extraction

Main finding

As reported in the abstract

  • Model implementation varied significantly between studies
  • Effectiveness data (10 studies): equivalent outcomes for the model of care (disease activity, radiographic damage, quality of life)
  • Health system costs equivalent or lower than usual care
  • Satisfaction with care equivalent or improved
  • Qualitative concerns around appropriate patient selection; health equity information not reported
  • 5 studies had qualitative outcomes; 2 were pre-implementation studies

Original publication

A scoping review of shared care models for rheumatoid arthritis with patient-initiated follow-up. Semin Arthritis Rheum. Published 11 March 2023. doi:10.1016/j.semarthrit.2023.152190

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